Surgical options for bilateral TVF paralysis

Question 1

What does universal transverse cordotomy do?

Answer 1

one VF is divided from the vocal process allowing it to retract anteriorly, allowing for a larger posterior gap (improve breathing) and anterior “bunching” (goal of maintain voicing)

Question 2

What are the cons of universal transverse cordotomy?

Answer 2

can increase risk of aspiration

Question 3

What does bilateral transverse cordotomy do?

Answer 3

both VFs are divided from the vocal process

Question 4

What are the pros of bilateral transverse cordotomy?

Answer 4

allow for greater glottal gap while still leaving minimal risk for aspiration and minimal change in voice

Question 5

What does the complete cordectomy do?

Answer 5

completely removes 1 VF, including vocalis muscle, that is typically used in treating a localized malignancy

completed with laser laryngoscopy

Question 6

What are the cons of complete cordectomy?

Answer 6

probably wont be able to produce voice